Childbirth: NCLEX Exam 2025 Newest
Exam Questions And Correct Answers
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What changes occur in estrogen and progesterone levels to trigger labor? - Answer-
Estrogen increases while progesterone decreases.
What are the signs of labor? - Answer- Bloody show, lightening, rupture of membranes,
regular contractions, cervical effacement, and dilation.
What is the definition of labor? - Answer- The process of expelling the fetus, placenta,
and umbilical cord, occurring between 38-42 weeks.
Which hormone stimulates contractions during labor? - Answer- Oxytocin
What role do prostaglandins play in labor? - Answer- They enhance contractions.
What is the difference between true labor and false labor? - Answer- True labor has
regular, stronger contractions that cause dilation, while false labor has irregular
contractions that stop with rest.
What are the 7 P's of labor? - Answer- Passage, Passenger, Powers, Position, Psyche,
Pain, Patience.
What is the best fetal presentation during labor? - Answer- Cephalic presentation.
What does LOA stand for in fetal position? - Answer- Left Occipito Anterior, which is the
most common and optimal position.
What are the three phases of contractions? - Answer- Increment (build), Acme (peak),
Decrement (relax).
What is the expected blood loss during a vaginal delivery? - Answer- Up to 500 mL.
What is the normal fetal heart rate (FHR)? - Answer- 110-160 bpm.
What does absent or minimal variability in FHR indicate? - Answer- It is a sign of fetal
distress.
What are the signs of placenta separation? - Answer- Gush of blood, cord lengthening,
and a firm, rising uterus.